{"id":2464,"date":"2018-10-28T18:34:54","date_gmt":"2018-10-28T18:34:54","guid":{"rendered":"http:\/\/madhousereport.com\/?p=2464"},"modified":"2018-10-28T18:34:54","modified_gmt":"2018-10-28T18:34:54","slug":"takeda-highlight-data-hodgkin-lymphoma-11th-international-symposium-hodgkin-lymphoma","status":"publish","type":"post","link":"https:\/\/theblogonline.com\/?p=2464","title":{"rendered":"Takeda To Highlight Data In Hodgkin Lymphoma During The 11th\u00a0International Symposium On Hodgkin Lymphoma"},"content":{"rendered":"<p class=\"p2\"><span class=\"s1\"><i>\u2013 Six Abstracts to be Presented to Highlight the Potential Impact of ADCETRIS<\/i><\/span><span class=\"s3\"><i><sup>\u00ae<\/sup><\/i><\/span><span class=\"s1\"><i>\u00a0(brentuximab vedotin) for the Treatment of Hodgkin Lymphoma \u2013<\/i><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">CAMBRIDGE, Mass. &amp; OSAKA, Japan&#8211;(<a href=\"http:\/\/www.businesswire.com\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s4\">BUSINESS WIRE<\/span><\/a><\/span><span class=\"s5\">\/<a href=\"http:\/\/aetoswire.com\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s6\">AETOSWire<\/span><\/a><\/span><span class=\"s1\">)&#8211; Takeda Pharmaceutical Company Limited\u00a0<a href=\"http:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%253A%252F%252Fwww.takeda.com%252Finvestors%252F&amp;esheet=51887967&amp;newsitemid=20181025005038&amp;lan=en-US&amp;anchor=%2528TSE%253A+4502%2529&amp;index=1&amp;md5=6096554f0d563563144a952f3d76d7ba\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s4\">(TSE: 4502)<\/span><\/a>\u00a0today announced that the company will feature a total of six company-sponsored abstracts, including two oral presentations, at the 11th International Symposium on Hodgkin Lymphoma (ISHL), October 27-29, 2018, in Cologne, Germany. This year\u2019s presentations will highlight Phase 3 and other clinical data from ADCETRIS (brentuximab vedotin) and continue to build upon our research in CD30-positive lymphoma.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">\u201cData to be presented at this year\u2019s ISHL continue to reinforce Takeda\u2019s dedication to advancing treatment for those affected by Hodgkin lymphoma,\u201d said Jes\u00fas G\u00f3mez-Navarro, M.D., Vice President, Head of Oncology Clinical Research and Development, Takeda. \u201cThe progress we have made in the development of ADCETRIS serves as a true testament to the leadership role we have established in the treatment of CD30-positive malignancies. We look forward to sharing positive data including results from the Phase 3 ECHELON-1 and AETHERA trials, which confirm the long-term benefits of ADCETRIS across treatment lines and support its role as an important targeted therapy for Hodgkin lymphoma.\u201d<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">During the invited oral presentation, Takeda will share results from the ECHELON-1 trial, which showed that ADCETRIS, as part of a frontline combination chemotherapy regimen, improved outcomes versus a current standard of care in previously untreated patients with advanced Hodgkin lymphoma. The safety profile of the ADCETRIS arm in the ECHELON-1 trial was generally consistent with that known for the single-agent components of the regimen. In addition to the findings previously presented during the Plenary Scientific Session at the 59th American Society of Hematology Annual Meeting (ASH) in December 2017, the ISHL presentation will highlight progression-free survival (PFS) results and data demonstrating the benefit of ADCETRIS in patients with Stage IV disease. Additional data to be featured during the meeting include several sub-analyses from the ECHELON-1 trial.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Takeda, in partnership with Seattle Genetics, will present five-year follow-up data from the Phase 3 AETHERA trial, in which ADCETRIS demonstrated a sustained benefit in PFS, as a consolidation treatment option for patients at high risk of relapse or progression following autologous stem cell transplant (ASCT). The safety profile of ADCETRIS in the AETHERA trial was generally consistent with the existing prescribing information.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Takeda will also reveal results from a Phase 1\/2 study evaluating ADCETRIS as part of a chemotherapy regimen in pediatric patients with advanced-stage Hodgkin lymphoma.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Also at the congress, ISHL invited Takeda to present on the company\u2019s R&amp;D Access to Medicine Oncology Program in Sub-Saharan Africa during the \u201cDeveloping Healthcare Environments\u201d workshop on Saturday, October 27, 8:45 \u2013 10:15 a.m. CET.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">The six Takeda Oncology-sponsored abstracts accepted for presentation during ISHL include:<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Frontline Brentuximab Vedotin Plus Chemotherapy Exhibits Superior Modified Progression-Free Survival vs Chemotherapy Alone In Patients With Stage III or IV Hodgkin Lymphoma: Phase 3 ECHELON-1 Study.\u00a0<b>Oral Presentation: \u201cAdvanced Stages\u201d Session. Monday, October 29, 7:30 \u2013 9:00 a.m. CET. Poster: Abstract 0038. Sunday, October 28 \u2013 Monday, October 29.<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Five-Year Progression-Free Survival Outcomes from a Pivotal Phase 3 Study of Consolidative Brentuximab Vedotin after Autologous Stem-Cell Transplantation in Patients with Hodgkin\u2019s Lymphoma at Risk of Relapse or Progression (AETHERA).*\u00a0<b>Oral Presentation. \u201cRelapsed\/Refractory HL\u201d Session. Monday, October 29, 4:00 \u2013 5:30 p.m. CET.<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Phase 1\/2 Study of Brentuximab Vedotin + AVD in Pediatric Patients with Advanced Stage Newly Diagnosed Classical Hodgkin Lymphoma.\u00a0<b>Abstract 0149. Sunday, October 28 \u2013 Monday, October 29.<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Serum sCD30 and TARC Do Not Correlate With PET-Based Response Assessment in Patients (Pts) with Stage III or IV Classical Hodgkin Lymphoma (cHL): Phase 3 ECHELON-1 Study of Brentuximab Vedotin Plus Chemotherapy vs Chemotherapy Alone.\u00a0<b>Abstract 0159. Sunday, October 28 \u2013 Monday, October 29.<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Brentuximab Vedotin Plus Chemotherapy in High Risk Advanced-Stage Classical Hodgkin Lymphoma (cHL) Patients: Results of Pre-Specified Sub-Group Analyses from the ECHELON-1 Study.\u00a0<b>Abstract 0136. Sunday, October 28 \u2013 Monday, October 29.<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Population Pharmacokinetic Modeling and Exposure-Response Assessment of Brentuximab Vedotin Efficacy and Safety in Patients with Advanced Classical Hodgkin Lymphoma from the Phase 3 ECHELON-1 Study.\u00a0<b>Abstract 0137. Sunday, October 28 \u2013 Monday, October 29.<\/b><\/span><\/p>\n<p class=\"p5\"><span class=\"s1\">*In partnership with Seattle Genetics<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\">For more information, the ISHL program is available here:\u00a0<a href=\"http:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%253A%252F%252Fwww.hodgkinsymposium.org%252Fschedule&amp;esheet=51887967&amp;newsitemid=20181025005038&amp;lan=en-US&amp;anchor=https%253A%252F%252Fwww.hodgkinsymposium.org%252Fschedule&amp;index=2&amp;md5=c8253c768b9b307464cbc12915fe7a51\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s4\">https:\/\/www.hodgkinsymposium.org\/schedule<\/span><\/a>.<\/span><\/p>\n<p class=\"p6\"><span class=\"s1\"><b>About Hodgkin Lymphoma<\/b><\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Lymphoma is a general term for a group of cancers that originate in the lymphatic system. There are two major categories of lymphoma: Hodgkin lymphoma and non-Hodgkin lymphoma. Hodgkin lymphoma is distinguished from other types of lymphoma by the presence of one characteristic type of cell, known as the Reed-Sternberg cell. The Reed-Sternberg cell expresses CD30.<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">According to the Lymphoma Coalition, approximately 67,000 people worldwide are diagnosed with Hodgkin lymphoma each year and more than 25,000 people die each year from this cancer.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Up to 30 percent of newly diagnosed Hodgkin lymphoma patients progress following frontline therapy depending on the stage of the disease. Only 50 percent of patients with relapsed or refractory Hodgkin lymphoma achieve long-term remission with high-dose chemotherapy and an autologous stem cell transplant (ASCT), a historically used treatment regimen, highlighting the importance of successful frontline treatment.<\/span><\/p>\n<p class=\"p6\"><span class=\"s1\"><b>About ADCETRIS<\/b><\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">ADCETRIS is an antibody-drug conjugate (ADC) comprising an anti-CD30 monoclonal antibody attached by a protease-cleavable linker to a microtubule disrupting agent, monomethyl auristatin E (MMAE), utilizing Seattle Genetics\u2019 proprietary technology. The ADC employs a linker system that is designed to be stable in the bloodstream but to release MMAE upon internalization into CD30-positive tumor cells.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">ADCETRIS injection for intravenous infusion has received FDA approval for five indications in adult patients with: (1) previously untreated Stage III or IV classical Hodgkin lymphoma (cHL), in combination with chemotherapy, (2) cHL at high risk of relapse or progression as post-autologous hematopoietic stem cell transplantation (auto-HSCT) consolidation, (3) cHL after failure of auto-HSCT or failure of at least two prior multi-agent chemotherapy regimens in patients who are not auto-HSCT candidates, (4) sALCL after failure of at least one prior multi-agent chemotherapy regimen, and (5) primary cutaneous anaplastic large cell lymphoma (pcALCL) or CD30-expressing mycosis fungoides (MF) who have received prior systemic therapy.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Health Canada granted ADCETRIS approval with conditions for relapsed or refractory Hodgkin lymphoma and sALCL in 2013, and non-conditional approval for post-autologous stem cell transplant (ASCT) consolidation treatment of Hodgkin lymphoma patients at increased risk of relapse or progression.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">ADCETRIS received conditional marketing authorization from the European Commission in October 2012. The approved indications in Europe are: (1) for the treatment of adult patients with relapsed or refractory CD30-positive Hodgkin lymphoma following ASCT, or following at least two prior therapies when ASCT or multi-agent chemotherapy is not a treatment option, (2) the treatment of adult patients with relapsed or refractory sALCL, (3) for the treatment of adult patients with CD30-positive Hodgkin lymphoma at increased risk of relapse or progression following ASCT, and (4) for the treatment of adult patients with CD30-positive cutaneous T-cell lymphoma (CTCL) after at least one prior systemic therapy.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">ADCETRIS has received marketing authorization by regulatory authorities in more than 70 countries for relapsed or refractory Hodgkin lymphoma and sALCL. See important safety information below.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">ADCETRIS is being evaluated broadly in more than 70 clinical trials, including a Phase 3 study in first-line Hodgkin lymphoma (ECHELON-1) and another Phase 3 study in first-line CD30-positive peripheral T-cell lymphomas (ECHELON-2), as well as trials in many additional types of CD30-positive malignancies.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Seattle Genetics and Takeda are jointly developing ADCETRIS. Under the terms of the collaboration agreement, Seattle Genetics has U.S. and Canadian commercialization rights and Takeda has rights to commercialize ADCETRIS in the rest of the world. Seattle Genetics and Takeda are funding joint development costs for ADCETRIS on a 50:50 basis, except in Japan where Takeda is solely responsible for development costs.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>ADCETRIS (brentuximab vedotin) Important Safety Information (European Union)<\/b><\/span><\/p>\n<p class=\"p5\"><span class=\"s1\">Please refer to Summary of Product Characteristics (SmPC) before prescribing.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>CONTRAINDICATIONS<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">ADCETRIS is contraindicated for patients with hypersensitivity to brentuximab vedotin and its excipients. In addition, combined use of ADCETRIS with bleomycin causes pulmonary toxicity.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>SPECIAL WARNINGS &amp; PRECAUTIONS<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Progressive multifocal leukoencephalopathy (PML):<\/b>\u00a0John Cunningham virus (JCV) reactivation resulting in progressive multifocal leukoencephalopathy (PML) and death can occur in patients treated with ADCETRIS. PML has been reported in patients who received ADCETRIS after receiving multiple prior chemotherapy regimens. PML is a rare demyelinating disease of the central nervous system that results from reactivation of latent JCV and is often fatal.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Closely monitor patients for new or worsening neurological, cognitive, or behavioral signs or symptoms, which may be suggestive of PML. Suggested evaluation of PML includes neurology consultation, gadolinium-enhanced magnetic resonance imaging of the brain, and cerebrospinal fluid analysis for JCV DNA by polymerase chain reaction or a brain biopsy with evidence of JCV. A negative JCV PCR does not exclude PML. Additional follow up and evaluation may be warranted if no alternative diagnosis can be established Hold dosing for any suspected case of PML and permanently discontinue ADCETRIS if a diagnosis of PML is confirmed.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Be alert to PML symptoms that the patient may not notice (e.g., cognitive, neurological, or psychiatric symptoms).<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Pancreatitis:\u00a0<\/b>Acute pancreatitis has been observed in patients treated with ADCETRIS. Fatal outcomes have been reported. Closely monitor patients for new or worsening abdominal pain, which may be suggestive of acute pancreatitis. Patient evaluation may include physical examination, laboratory evaluation for serum amylase and serum lipase, and abdominal imaging, such as ultrasound and other appropriate diagnostic measures. Hold ADCETRIS for any suspected case of acute pancreatitis. ADCETRIS should be discontinued if a diagnosis of acute pancreatitis is confirmed.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Pulmonary Toxicity:\u00a0<\/b>Cases of pulmonary toxicity, some with fatal outcomes, including pneumonitis, interstitial lung disease, and acute respiratory distress syndrome (ARDS), have been reported in patients receiving ADCETRIS. Although a causal association with ADCETRIS has not been established, the risk of pulmonary toxicity cannot be ruled out. Promptly evaluate and treat new or worsening pulmonary symptoms appropriately. Consider holding dosing during evaluation and until symptomatic improvement.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Serious infections and opportunistic infections:\u00a0<\/b>Serious infections such as pneumonia, staphylococcal bacteremia, sepsis\/septic shock (including fatal outcomes), and herpes zoster, and opportunistic infections such as\u00a0<i>Pneumocystis jiroveci\u00a0<\/i>pneumonia and oral candidiasis have been reported in patients treated with ADCETRIS. Carefully monitor patients during treatment for emergence of possible serious and opportunistic infections.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Infusion-related reactions (IRR):<\/b>\u00a0Immediate and delayed IRR, as well as anaphylaxis, have occurred with ADCETRIS. Carefully monitor patients during and after an infusion. If anaphylaxis occurs, immediately and permanently discontinue administration of ADCETRIS Appropriate medical therapy should be administered. If an IRR occurs, interrupt the infusion and institute appropriate medical management. The infusion may be restarted at a slower rate after symptom resolution. Patients who have experienced a prior IRR should be premedicated for subsequent infusions. IRRs are more frequent and more severe in patients with antibodies to ADCETRIS.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Tumor lysis syndrome (TLS):<\/b>\u00a0TLS has been reported with ADCETRIS. Patients with rapidly proliferating tumor and high tumor burden are at risk of TLS. Monitor these patients closely and managed according to best medical practice.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Peripheral neuropathy (PN):<\/b>\u00a0ADCETRIS treatment may cause PN, both sensory and motor. ADCETRIS-induced PN is typically cumulative and reversible in most cases. Monitor patients for symptoms of PN, such as hypoesthesia, hyperesthesia, paresthesia, discomfort, a burning sensation, neuropathic pain, or weakness. Patients experiencing new or worsening PN may require a delay and a dose reduction or discontinuation of ADCETRIS.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Hematological toxicities:<\/b>\u00a0Grade 3 or Grade 4 anemia, thrombocytopenia, and prolonged (equal to or greater than one week) Grade 3 or Grade 4 neutropenia can occur with ADCETRIS. Monitor complete blood counts prior to administration of each dose.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Febrile neutropenia:<\/b>\u00a0Febrile neutropenia has been reported. Closely monitor patients for fever and manage according to best medical practice if febrile neutropenia develops.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Stevens-Johnson syndrome (SJS):<\/b>\u00a0SJS and toxic epidermal necrolysis (TEN) have been reported with ADCETRIS. Fatal outcomes have been reported. Discontinue treatment with ADCETRIS if SJS or TEN occurs and administer appropriate medical therapy.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Gastrointestinal (GI) Complications:<\/b>\u00a0GI complications, some with fatal outcomes, including intestinal obstruction, ileus, enterocolitis, neutropenic colitis, erosion, ulcer, perforation and haemorraghe, have been reported. Promptly evaluate and treat patients if new or worsening GI symptoms occur.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Hepatotoxicity:\u00a0<\/b>Elevations in alanine aminotransferase (ALT) and aspartate aminotransferase (AST) have been reported. Serious cases of hepatotoxicity, including fatal outcomes, have also occurred. Test liver function prior to treatment initiation and routinely monitor patients receiving ADCETRIS for liver elevations. Patients experiencing hepatotoxicity may require a delay, dose modification, or discontinuation of ADCETRIS.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Hyperglycemia:<\/b>\u00a0Hyperglycemia has been reported during trials in patients with an elevated body mass index (BMI) with or without a history of diabetes mellitus. Closely monitor serum glucose for patients who experiences an event of hyperglycemia. Administer anti-diabetic treatment as appropriate.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Renal and Hepatic Impairment:\u00a0<\/b>There is limited experience in patients with renal and hepatic impairment. Available data indicate that MMAE clearance might be affected by severe renal impairment, hepatic impairment, and by low serum albumin concentrations.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>CD30+ CTCL:<\/b>\u00a0The size of the treatment effect in CD30 + CTCL subtypes other than mycosis fungoides (MF) and primary cutaneous anaplastic large cell lymphoma (pcALCL) is not clear due to lack of high level evidence. In two single arm phase II studies of ADCETRIS, disease activity has been shown in the subtypes S\u00e9zary syndrome (SS), lymphomatoid papulosis (LyP) and mixed CTCL histology. These data suggest that efficacy and safety can be extrapolated to other CTCL CD30+ subtypes. Carefully consider the benefit-risk per patient and use caution in other CD30+ CTCL patient types.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Sodium content in excipients:<\/b>\u00a0ADCETRIS contains a maximum of 2.1 mmol (or 47 mg) of sodium per dose. Take this into consideration for patients on a controlled sodium diet.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>INTERACTIONS<\/b><br \/>\nPatients who are receiving a strong CYP3A4 and P-gp inhibitor, concomitantly with ADCETRIS may have an increased risk of neutropenia and should be closely monitored. Co-administration of ADCETRIS with a CYP3A4 inducer did not alter the plasma exposure of ADCETRIS but it appeared to reduce plasma concentrations of MMAE metabolites that could be assayed. ADCETRIS is not expected to alter the exposure to drugs that are metabolized by CYP3A4 enzymes.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>PREGNANCY:<\/b>\u00a0Advise women of childbearing potential to use two methods of effective contraception during treatment with ADCETRIS and until 6 months after treatment. There are no data from the use of ADCETRIS in pregnant women, although studies in animals have shown reproductive toxicity. Do not use ADCETRIS during pregnancy unless the benefit to the mother outweighs the potential risks to the fetus.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>LACTATION (breast-feeding):<\/b>\u00a0There are no data as to whether ADCETRIS or its metabolites are excreted in human milk, therefore a risk to the newborn\/infant cannot be excluded. With the potential risk, a decision should be made whether to discontinue breast-feeding or discontinue\/abstain from therapy with ADCETRIS.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>FERTILITY:<\/b>\u00a0In nonclinical studies, ADCETRIS treatment has resulted in testicular toxicity, and may alter male fertility. Advise men being treated with ADCETRIS not to father a child during treatment and for up to 6 months following the last dose.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Effects on ability to drive and use machines: ADCETRIS may have a minor influence on the ability to drive and use machines.<\/b><\/span><\/p>\n<p class=\"p6\"><span class=\"s1\"><b>UNDESIRABLE EFFECTS<\/b><\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">The most frequent adverse reactions (\u226510%) were infections, peripheral sensory neuropathy, nausea, fatigue, diarrhoea, pyrexia, upper respiratory tract infection, neutropenia, rash, cough, vomiting, arthralgia, peripheral motor neuropathy, infusion-related reactions, pruritus, constipation, dyspnoea, weight decreased, myalgia and abdominal pain.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Serious adverse drug reactions were: pneumonia, acute respiratory distress syndrome, headache, neutropenia, thrombocytopenia, constipation, diarrhea, vomiting, nausea, pyrexia, peripheral motor neuropathy, peripheral sensory neuropathy, hyperglycemia, demyelinating polyneuropathy, tumor lysis syndrome, and Stevens-Johnson syndrome. Serious adverse drug reactions occurred in 12% of patients. The frequency of unique serious adverse drug reactions was \u22641%.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>ADCETRIS (brentuximab vedotin) U.S. Important Safety Information<\/b><\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>BOXED WARNING: PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY (PML)<\/b><\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>JC virus infection resulting in PML and death can occur in ADCETRIS-treated patients.<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Contraindication<\/b><br \/>\nADCETRIS concomitant with bleomycin due to pulmonary toxicity (e.g., interstitial infiltration and\/or inflammation).<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Warnings and Precautions<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\"><b>Peripheral neuropathy (PN):<\/b>\u00a0ADCETRIS causes PN that is predominantly sensory. Cases of motor PN have also been reported. ADCETRIS-induced PN is cumulative. Monitor for symptoms such as hypoesthesia, hyperesthesia, paresthesia, discomfort, a burning sensation, neuropathic pain, or weakness. Institute dose modifications accordingly.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Anaphylaxis and infusion reactions:<\/b>\u00a0Infusion-related reactions (IRR), including anaphylaxis have occurred with ADCETRIS. Monitor patients during infusion. If an IRR occurs, interrupt the infusion and institute appropriate medical management. If anaphylaxis occurs, immediately and permanently discontinue the infusion and administer appropriate medical therapy. Premedicate patients with a prior IRR before subsequent infusions. Premedication may include acetaminophen, an antihistamine, and a corticosteroid.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Hematologic toxicities:<\/b>\u00a0Prolonged (\u22651 week) severe neutropenia and Grade 3 or 4 thrombocytopenia or anemia can occur with ADCETRIS. Febrile neutropenia has been reported with ADCETRIS. Monitor complete blood counts prior to each ADCETRIS dose. Consider more frequent monitoring for patients with Grade 3 or 4 neutropenia. Monitor patients for fever. If Grade 3 or 4 neutropenia develops, consider dose delays, reductions, discontinuation, or G-CSF prophylaxis with subsequent doses.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Serious infections and opportunistic infections:<\/b>\u00a0Infections such as pneumonia, bacteremia, and sepsis or septic shock (including fatal outcomes) have been reported in ADCETRIS-treated patients. Closely monitor patients during treatment for bacterial, fungal, or viral infections.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Tumor lysis syndrome:<\/b>\u00a0Closely monitor patients with rapidly proliferating tumor and high tumor burden.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Increased toxicity in the presence of severe renal impairment:\u00a0<\/b>The frequency of \u2265Grade 3 adverse reactions and deaths was greater in patients with severe renal impairment compared to patients with normal renal function. Avoid use in patients with severe renal impairment.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Increased toxicity in the presence of moderate or severe hepatic impairment:\u00a0<\/b>The frequency of \u2265Grade 3 adverse reactions and deaths was greater in patients with moderate or severe hepatic impairment compared to patients with normal hepatic function. Avoid use in patients with moderate or severe hepatic impairment<i>.<\/i><\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Hepatotoxicity<\/b>: Serious cases, including fatal outcomes, have occurred in ADCETRIS-treated patients. Cases were consistent with hepatocellular injury, including elevations of transaminases and\/or bilirubin, and occurred after the first ADCETRIS dose or rechallenge. Preexisting liver disease, elevated baseline liver enzymes, and concomitant medications may increase the risk. Monitor liver enzymes and bilirubin. Patients with new, worsening, or recurrent hepatotoxicity may require a delay, change in dose, or discontinuation of ADCETRIS.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>PML:<\/b>\u00a0JC virus infection resulting in PML and death has been reported in ADCETRIS-treated patients. First onset of symptoms occurred at various times from initiation of ADCETRIS therapy, with some cases occurring within 3 months of initial exposure. Other possible contributory factors other than ADCETRIS include prior therapies and underlying disease that may cause immunosuppression. Consider PML diagnosis in patients with new-onset signs and symptoms of central nervous system abnormalities. Hold ADCETRIS if PML is suspected and discontinue ADCETRIS if PML is confirmed.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Pulmonary toxicity:\u00a0<\/b>Noninfectious pulmonary toxicity events including pneumonitis, interstitial lung disease, and acute respiratory distress syndrome, some with fatal outcomes, have been reported. Monitor patients for signs and symptoms, including cough and dyspnea. In the event of new or worsening pulmonary symptoms, hold ADCETRIS dosing during evaluation and until symptomatic improvement.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Serious dermatologic reactions:\u00a0<\/b>Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), including fatal outcomes, have been reported with ADCETRIS. If SJS or TEN occurs, discontinue ADCETRIS and administer appropriate medical therapy.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Gastrointestinal (GI) complications:\u00a0<\/b>Acute pancreatitis, including fatal outcomes, has been reported in ADCETRIS-treated patients. Other fatal and serious GI complications, including perforation, hemorrhage, erosion, ulcer, intestinal obstruction, enterocolitis, neutropenic colitis, and ileus have been reported in ADCETRIS-treated patients. Lymphoma with preexisting GI involvement may increase the risk of perforation. In the event of new or worsening GI symptoms, perform a prompt diagnostic evaluation and treat appropriately.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Embryo-fetal toxicity:<\/b>\u00a0Based on the mechanism of action and animal studies, ADCETRIS can cause fetal harm. Advise females of reproductive potential of the potential risk to the fetus, and to avoid pregnancy during ADCETRIS treatment and for at least 6 months after the final dose of ADCETRIS.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>Most Common (\u226520%) Adverse Reactions:\u00a0<\/b>peripheral sensory neuropathy, fatigue, nausea, diarrhea, neutropenia, upper respiratory tract infection, and pyrexia.<\/span><\/p>\n<p class=\"p6\"><span class=\"s1\"><b>Drug Interactions<\/b><\/span><\/p>\n<p class=\"p6\"><span class=\"s1\">Concomitant use of strong CYP3A4 inhibitors or inducers, or P-gp inhibitors, has the potential to affect the exposure to monomethyl auristatin E (MMAE).<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\"><b>Use in Specific Populations<\/b><\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Moderate or severe hepatic impairment or severe renal impairment: MMAE exposure and adverse reactions are increased. Avoid use.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Advise males with female sexual partners of reproductive potential to use effective contraception during, and for at least 6 months after the final dose of ADCETRIS treatment.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Advise patients to report pregnancy immediately and avoid breastfeeding while receiving ADCETRIS.<\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>For additional Important Safety Information, including BOXED WARNING, please see the full Prescribing Information for ADCETRIS at\u00a0<\/b><a href=\"http:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%253A%252F%252Fwww.seattlegenetics.com&amp;esheet=51887967&amp;newsitemid=20181025005038&amp;lan=en-US&amp;anchor=www.seattlegenetics.com&amp;index=3&amp;md5=7335147707ee5bbfcbda45dcb466a169\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s4\">www.seattlegenetics.com<\/span><\/a>\u00a0<b>or\u00a0<\/b><a href=\"http:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%253A%252F%252Fwww.adcetris.com%252F&amp;esheet=51887967&amp;newsitemid=20181025005038&amp;lan=en-US&amp;anchor=www.ADCETRIS.com&amp;index=4&amp;md5=e8b19b21adb09aca04a97174cb3c0698\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s4\">www.ADCETRIS.com<\/span><\/a><b>.<\/b><\/span><\/p>\n<p class=\"p5\"><span class=\"s1\"><b>About Takeda Pharmaceutical Company<\/b><\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Takeda Pharmaceutical Company Limited (<a href=\"http:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%253A%252F%252Fwww.takeda.com%252Finvestors%252F&amp;esheet=51887967&amp;newsitemid=20181025005038&amp;lan=en-US&amp;anchor=TSE%253A+4502&amp;index=5&amp;md5=4c937f6e59016810ce29b95c3b3351fa\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s4\">TSE: 4502<\/span><\/a>) is a global, research and development-driven pharmaceutical company committed to bringing better health and a brighter future to patients by translating science into life-changing medicines. Takeda focuses its R&amp;D efforts on oncology, gastroenterology and neuroscience therapeutic areas plus vaccines. Takeda conducts R&amp;D both internally and with partners to stay at the leading edge of innovation. Innovative products, especially in oncology and gastroenterology, as well as Takeda\u2019s presence in emerging markets, are currently fueling the growth of Takeda. Approximately 30,000 Takeda employees are committed to improving quality of life for patients, working with Takeda\u2019s partners in health care in more than 70 countries.<\/span><\/p>\n<p class=\"p10\"><span class=\"s7\"><br \/>\nFor more information, visit\u00a0<a href=\"http:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=https%253A%252F%252Fwww.takeda.com%252Fnewsroom%252F&amp;esheet=51887967&amp;newsitemid=20181025005038&amp;lan=en-US&amp;anchor=https%253A%252F%252Fwww.takeda.com%252Fnewsroom%252F&amp;index=6&amp;md5=a7b30c926ce9866d4c8fec4e9617e559\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s8\">https:\/\/www.takeda.com\/newsroom\/<\/span><\/a>.<\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Additional information about Takeda is available through its corporate website,\u00a0<a href=\"http:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%253A%252F%252Fwww.takeda.com&amp;esheet=51887967&amp;newsitemid=20181025005038&amp;lan=en-US&amp;anchor=www.takeda.com&amp;index=7&amp;md5=97a963b19bb9133efedc0619e1d20e5d\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s4\">www.takeda.com<\/span><\/a>, and additional information about Takeda Oncology, the brand for the global oncology business unit of Takeda Pharmaceutical Company Limited, is available through its website,\u00a0<a href=\"http:\/\/cts.businesswire.com\/ct\/CT?id=smartlink&amp;url=http%253A%252F%252Fwww.takedaoncology.com&amp;esheet=51887967&amp;newsitemid=20181025005038&amp;lan=en-US&amp;anchor=www.takedaoncology.com&amp;index=8&amp;md5=5e07650796b91c003c1e4b9fc62718d9\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s4\">www.takedaoncology.com<\/span><\/a>.<\/span><\/p>\n<p class=\"p11\"><span class=\"s7\">View source version on businesswire.com:\u00a0<a href=\"https:\/\/www.businesswire.com\/news\/home\/20181025005038\/en\/\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s8\">https:\/\/www.businesswire.com\/news\/home\/20181025005038\/en\/<\/span><\/a><\/span><\/p>\n<p class=\"p12\"><span class=\"s1\"><b>*Source: <\/b><a href=\"https:\/\/www.aetoswire.com\/news\/7299\/en\" rel=\"nofollow noopener\" target=\"_blank\"><span class=\"s9\"><b>AETOSWire<\/b><\/span><\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2013 Six Abstracts to be Presented to Highlight the Potential Impact of ADCETRIS\u00ae\u00a0(brentuximab vedotin) for the Treatment of Hodgkin Lymphoma \u2013 CAMBRIDGE, Mass. &amp; OSAKA, Japan&#8211;(BUSINESS WIRE\/AETOSWire)&#8211; Takeda Pharmaceutical Company Limited\u00a0(TSE: 4502)\u00a0today announced that the company will feature a total of six company-sponsored abstracts, including two oral presentations, at the 11th International Symposium on Hodgkin [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2465,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[1832,1833,1630],"class_list":["post-2464","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-metro","tag-hodgkin-lymphoma","tag-international-symposium","tag-takeda"],"_links":{"self":[{"href":"https:\/\/theblogonline.com\/index.php?rest_route=\/wp\/v2\/posts\/2464"}],"collection":[{"href":"https:\/\/theblogonline.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/theblogonline.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/theblogonline.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/theblogonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2464"}],"version-history":[{"count":1,"href":"https:\/\/theblogonline.com\/index.php?rest_route=\/wp\/v2\/posts\/2464\/revisions"}],"predecessor-version":[{"id":2466,"href":"https:\/\/theblogonline.com\/index.php?rest_route=\/wp\/v2\/posts\/2464\/revisions\/2466"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/theblogonline.com\/index.php?rest_route=\/wp\/v2\/media\/2465"}],"wp:attachment":[{"href":"https:\/\/theblogonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2464"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/theblogonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2464"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/theblogonline.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2464"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}